Organization · NPI-2

Crestview Hcc LLC

Skilled Nursing Facility · Crestview, FL

NPI number1982595344
StatusActive
Last updated in NPPESJul 14, 2025

Details

NPI
1982595344
Entity type
Organization (NPI-2)
Legal business name
Crestview Hcc LLC
Organization subpart
No
Enumeration date
Jul 14, 2025
Certification date
Jul 14, 2025
Last updated
Jul 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Practice location

910 Brookmeade Dr
Crestview, FL 32539-6056

Phone 850-682-1903

Mailing address

548 Cedarwood Dr
Cedarhurst, NY 11516-1010

Phone 850-682-1903

Authorized official

Chaim Leibowitz
Evp
8506821903

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